Restrictive Disorders

Question 1

What are restrictive disorders

Answer 1

Decrease in lung compliance due to stiffness and lung interstitium becoming thicker

Low FEV1 and low FVC, normal/increased FEV1/FVC ratio

Question 2

Symptoms of restrictive lung diseases

Answer 2

Dyspnoea, type 1 respiratory failure, heart failure, fibrosis, dry cough, fine creps

Question 3

What is sarcoidosis?

Answer 3

No caseating granulomatous disease

Question 4

Symptoms of sarcoidosis

Answer 4

Wheeze, cough, chest pain, erythema nodosum, elevated ACE

Question 5

How to treat sarcoidosis

Answer 5

Mild = no treatment and NSAIDs or topical steroids for rashes

Systemic steroids given if other systems involved

Question 6

What is idiopathic pulmonary fibrosis

Answer 6

Rare, progressive, fibrotic scar tissue

Irreversible decline in lung function

Question 7

Symptoms of idiopathic pulmonary fibrosis

Answer 7

Dry cough, finger clubbing, smooth muscle and vascular proliferation

Question 8

What is hypersensitive pneumonitis

Answer 8

Inhalation of mould, bacteria, bird feathers, occupational dusts